ATI RN
microbiology a systems approach test bank Questions
Question 1 of 9
Which of the following bacteria can cause urinary tract infections (UTIs)?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Escherichia coli, Salmonella enterica, and Pseudomonas aeruginosa are all known to cause urinary tract infections (UTIs) in humans. E. coli is the most common cause of UTIs, accounting for about 80-85% of cases. S. enterica and P. aeruginosa are less common but can still infect the urinary tract under certain circumstances. Therefore, all three bacteria can potentially cause UTIs, making option D the correct choice. Choices A, B, and C are incorrect because they do not cover the full range of bacteria known to cause UTIs.
Question 2 of 9
The type of antibody that can cross the placenta is:
Correct Answer: C
Rationale: The correct answer is C: IgG. IgG is the only antibody that can cross the placenta due to its small size and unique structure, allowing it to provide passive immunity to the fetus. IgA is mainly found in mucosal secretions, IgM is too large to cross the placental barrier, and IgD plays a role in B cell activation but is not involved in placental transfer.
Question 3 of 9
A patient with convulsive contractions of facial muscles was admitted to the infectious disease ward. From a scratch on his lower right extremity analysts isolated bacteria with terminal endospores that gave them drumstick appearance. What bacteria are compliant with given description?
Correct Answer: A
Rationale: Step-by-step rationale for the correct answer (A - Clostridium tetani): 1. The patient has convulsive contractions of facial muscles, indicating tetanus. 2. Isolation of bacteria with terminal endospores that have a drumstick appearance is characteristic of Clostridium tetani. 3. Clostridium tetani produces tetanospasmin toxin causing muscle spasms. 4. Therefore, the correct answer is Clostridium tetani (A). Summary of why other choices are incorrect: B: Clostridium botulinum causes botulism, not tetanus. C: Clostridium perfringens causes gas gangrene, not tetanus. D: Bacillus anthracis causes anthrax, not tetanus.
Question 4 of 9
Antibodies against influenza viruses in a patient's serum can be determined by;
Correct Answer: C
Rationale: The correct answer is C: Reaction haemagglutination inhibition. This method is used to detect antibodies against influenza viruses by measuring the ability of the patient's serum to inhibit haemagglutination. This is a specific and sensitive technique for detecting influenza antibodies. A: Agglutination reaction is not specific for influenza viruses and may give false positives. B: Precipitation reaction in agar gel is not typically used for detecting influenza antibodies. D: Ration haemagglutination is not a standard method for detecting influenza antibodies.
Question 5 of 9
A man uses dentures. The dentist has noticed mucosal lecions with a white coating in his oral cavity. Microscopy of the coating detected large oval Gram-positive cells. What microorganisms have caused stomatitis in the patient?
Correct Answer: A
Rationale: The correct answer is A: Yeast-like fungi of Candida genus. Candida is a common cause of oral thrush/stomatitis, characterized by mucosal lesions with white coating. The presence of large oval Gram-positive cells is indicative of Candida species. Actinomycetes (B) are filamentous bacteria and not oval Gram-positive cells. Streptococci (C) are spherical bacteria, not oval, and are not commonly associated with stomatitis. Oral spirochetes (D) are spiral-shaped bacteria and not oval Gram-positive cells typically seen in Candida infections. Thus, A is the correct choice based on the characteristic morphology and clinical presentation.
Question 6 of 9
Which one is true for enteropathogenic E.coli?
Correct Answer: A
Rationale: The correct answer is A because enteropathogenic E. coli (EPEC) have fimbrial adhesins that help them bind to enterocytes in the intestines, leading to colonization and infection. This is a key virulence factor of EPEC. Explanation for why other choices are incorrect: B: EPEC typically cause watery diarrhea in infants, not bloody diarrhea similar to shigellosis. C: EPEC are not part of the normal intestinal flora; they are pathogenic bacteria. D: EPEC are not invasive and do not typically produce enterotoxin; they primarily adhere to the intestinal epithelium.
Question 7 of 9
A 49-year-old countryman got an itching papule on the dorsum of his right hand. In the centre there is a vesicle with serosanginous exudate. Within the next 2 days the patient developed a painless edema of hand and forearm. On the 4th day the temperature rose to 38,5oC, in the right axillary region a large painful lymph node was found. One daybefore the onset of the disease the patient had examined a dead calf. What is the most likely diagnosis?
Correct Answer: D
Rationale: The most likely diagnosis is D: Lymphocutaneous tularemia. The key clues include exposure to a dead animal, vesicle with serosanginous exudate, painless edema progressing to lymph node involvement, and fever. Tularemia is caused by Francisella tularensis, commonly acquired through contact with infected animals. The characteristic ulcer at the site of entry, lymphadenopathy, and systemic symptoms point towards tularemia. Cutaneous anthrax (A) presents with a painless ulcer and black eschar. Bubonic plague (B) typically presents with buboes (swollen lymph nodes) and fever. Carbuncle (C) is a deep skin infection typically caused by Staphylococcus aureus.
Question 8 of 9
Basing upon the data of laboratory assessment of sanitary state of soil in a certain territory, the soil was found to be low-contaminated according to the sanitary indicative value; contaminated according to the coli titer; low-contaminated according to the anaerobe titer (Cl. perfringens). This is indicative of:
Correct Answer: A
Rationale: Step 1: The soil is low-contaminated according to the sanitary indicative value, which indicates that the contamination is recent. Step 2: The soil is contaminated according to coli titer, suggesting the presence of coliform bacteria typically found in fresh fecal matter. Step 3: The soil is low-contaminated according to the anaerobe titer (Cl. perfringens), which is an indicator of recent fecal contamination. Step 4: Based on the above steps, the correct answer is A: Fresh fecal contamination, as the presence of coliform bacteria and recent anaerobe titer levels point to recent fecal contamination. Summary: B: Old fecal contamination - Incorrect because the indicators suggest recent contamination. C: Insufficient intensity of soil humification - Incorrect as it is not related to the specific indicators mentioned in the question. D: Constant entry of organic protein contaminations - Incorrect as the indicators point towards fecal contamination, not protein
Question 9 of 9
The antigen receptors on the surface of B-lymphocytes are made by proteins:
Correct Answer: A
Rationale: The correct answer is A: TRUE. B-lymphocyte antigen receptors are made by proteins called immunoglobulins. These proteins are essential for recognizing and binding to specific antigens. They play a crucial role in the immune response. Choice B is incorrect because B-lymphocyte antigen receptors are indeed made by proteins. Choice C is incorrect as well because in this case, the correct answer is that the receptors are made by proteins. Choice D is also incorrect as the receptors are made by proteins.